CN109044493A - A kind of multifunctional tumor removing scissors - Google Patents

A kind of multifunctional tumor removing scissors Download PDF

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Publication number
CN109044493A
CN109044493A CN201811026451.7A CN201811026451A CN109044493A CN 109044493 A CN109044493 A CN 109044493A CN 201811026451 A CN201811026451 A CN 201811026451A CN 109044493 A CN109044493 A CN 109044493A
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CN
China
Prior art keywords
knife pipe
flat
pushing
interior knife
handle
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Granted
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CN201811026451.7A
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Chinese (zh)
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CN109044493B (en
Inventor
王焕昇
杨明山
裴发军
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Shandong Institute of Cancer Prevention and Treatment
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Shandong Institute of Cancer Prevention and Treatment
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Priority to CN201811026451.7A priority Critical patent/CN109044493B/en
Publication of CN109044493A publication Critical patent/CN109044493A/en
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/32Surgical cutting instruments
    • A61B17/3201Scissors
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/32Surgical cutting instruments
    • A61B2017/320044Blunt dissectors
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/32Surgical cutting instruments
    • A61B2017/320064Surgical cutting instruments with tissue or sample retaining means
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B2217/00General characteristics of surgical instruments
    • A61B2217/002Auxiliary appliance
    • A61B2217/005Auxiliary appliance with suction drainage system

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  • Health & Medical Sciences (AREA)
  • Surgery (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Biomedical Technology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Engineering & Computer Science (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Pathology (AREA)
  • Surgical Instruments (AREA)

Abstract

The invention discloses a kind of multifunctional tumors to remove scissors, including handle;Outer knife pipe, the mode outer knife Guan Yike rotatable around its axis are connected to the handle;Interior knife pipe, the outer knife pipe are coated at the interior knife pipe;Interior knife pipe right end stretches out outside handle and is connected with drawing liquid hose;Scissor body, the scissor body include two cambered blades for being coaxially articulated with the outer catheter left end;The interior knife pipe left end is hingedly connected to two cambered blades by two connecting rods;Driving motor, the driving motor are set in the handle;Flat-pushing sleeve, the flat-pushing sleeve is located in the handle and fixed jacket is in the interior knife pipe, and by being threadedly engaged flat-pushing gear, the driving motor can drive the flat-pushing gear rotation, and flat-pushing pullover and interior knife pipe is driven to move back and forth the shear action for realizing scissor body axially together;Rotational sleeve, rotational sleeve housing are fixed with rotate gear, this removing scissors can be automatically performed shear action, and applicability is preferable, and cutting efficiency is high.

Description

A kind of multifunctional tumor removing scissors
Technical field
The invention belongs to medical instruments fields, and in particular to a kind of multifunctional tumor removing scissors.
Background technique
Tumour may occur for any position of human body, mostly benign, and benign tumour has a complete tumor wall and normal tissue viscous Even.For surgery system benign tumour some need to be rejected.Currently, peeling operation benign tumour with scissors, knife handle or Cyst wall is separated and is kept tumour integrality with surrounding tissue row passivity or sharp property by index finger, to take out.Existing tumour removing Scissors when in use, is easy to make tumour to rupture discharge to abdominal cavity and pelvic cavity, and makes tumor recurrence, and expansive force declines after cyst wall rupture Increase the difficulty of removing.When removing tumour using finger, although not easy damaged tumor wall, finger is shorter, is not readily separated tumour Lower section and basal part.
Currently, the cutting tool that existing tumor dissector uses is integrally formed cutter hub, length is non-adjustable, answers Used time needs once cut completion, cutting efficiency is lower at the adhesion of the cutting tumour and normal tissue of a part a part.
A kind of tumor dissector is disclosed in the patent that Authorization Notice No. is CN 205391141U comprising drag hook is solid Fixed pipe, and drag hook fixing pipe is socketed with pipe sleeve, the both ends of pipe sleeve are stretched out at drag hook fixing pipe both ends, and drag hook fixing pipe one end is equipped with Several fixing pieces are hinged with the drag hook with drag hook extension rod on fixing piece.It need to only be mentioned when needing to take out tumor mass Drag hook fixing pipe is drawn to push casing, two drag hooks are gathered to center, clamp tumor mass, can take out tumor mass.But Due to drag hook band stock, length is non-adjustable, and stock is not adapted to tumor surface, and cutting effect is poor, and application value is lower;Drag hook is only It is articulated on fixing piece, without retaining mechanism, hold mode cannot be stablized, when application is inconvenient;It does not suck blood dirty mechanism, Blood stains may cover cutting part and influence treat doctor cutting operation, be unfavorable for the diagnosis and treatment of patient;And due to stock front end Hook is bent to, width is larger, biggish space is needed when protruding into tumor periphery, to the normal tissue of tumour circumferential perimeter Injury it is larger.
Summary of the invention
The purpose of the present invention is: it is intended to provide a kind of multifunctional tumor removing scissors, can be set according to healthcare givers Frequency, be automatically performed shear action, applicability is preferable, also helps the wound reduced to the normal tissue of tumour circumferential perimeter Evil, application value is higher, and can disposably cut down entire tumour, and cutting efficiency is high;Also there is the mechanism for drawing blood stains, Convenient for the cutting operation of doctor.
To realize the above-mentioned technical purpose, The technical solution adopted by the invention is as follows:
A kind of multifunctional tumor removing scissors, comprising: handle;Outer knife pipe, the side that the outer knife pipe can be rotatable around its axis Formula is connected to the handle;Interior knife pipe, the outer knife pipe is coated at the interior knife pipe, and interior knife pipe can be axial along the outer catheter It reciprocatingly slides;Interior knife pipe right end stretches out outside handle and is connected with drawing liquid hose;Scissor body, the scissor body include two coaxial hinges It is connected to the cambered blade of the outer catheter left end;The interior knife pipe left end is hingedly connected to two curved knifes by two connecting rods Piece, to move the carry out shear action for realizing scissor body along axial reciprocating by the interior knife pipe;Driving motor, the driving electricity Machine is set in the handle;Flat-pushing sleeve, the flat-pushing sleeve is located in the handle and fixed jacket is in the interior knife pipe, Flat-pushing sleeve is externally provided with external screw thread, and is combined with the tool flat-pushing gear of internal thread by the external screw thread, and the driving motor can The flat-pushing gear rotation is driven, and flat-pushing pullover and interior knife pipe is driven to move back and forth the shearing for realizing scissor body axially together Movement;Rotational sleeve, the rotational sleeve are coated at flat-pushing sleeve, rotational sleeve in such a way that the circumferencial direction that slides axially is fixed Housing is fixed with rotate gear, and the driving motor can drive the rotate gear to rotate, and drive rotational sleeve and interior knife pipe It is rotated about axis jointly;
Further, it is set on the output shaft of the driving motor and is engaged respectively with the flat-pushing gear and rotate gear The first driving gear and the second driving gear;It is equipped between first driving gear and the second driving gear for controlling the One driving gear and the second driving gear replace the clutch collar of engagement with output shaft, and the handle is externally provided with for controlling described connect The push button that trap slides axially;
Further, the flat-pushing sleeve left end is fixed with transmission annulus, and the transmission annulus is externally provided with spline tooth, described Rotational sleeve inner circle is equipped with the spline cooperated with the spline tooth;
Further, the rotate gear is shaped in the rotational sleeve;
Further, the interior knife pipe periphery be equipped with self-lubricating material production sliding layer, and by the sliding layer with The periphery of outer knife pipe is slidably matched;
Further, the driving motor is speed regulating motor.
The invention has the benefit that when carrying out tumour removing using removing scissors of the invention, driving motor alternately into Row rotates and reverse, and the flat-pushing gear is driven to rotate and reverse with certain frequency, and drives flat-pushing pullover and interior knife pipe total With the shear action for moving realization scissor body along axial reciprocating;When needing to adjust the posture of scissor body, driving electricity can use Machine drives interior knife pipe, outer knife pipe and scissor body common rotation, improves the convenience that medical worker uses, removes the interior knife pipe of scissors Left end is equipped with inlet opening, and in tumour stripping process, after miniature pump startup, interior knife pipe is drawn blood stains and is sent in pipette, most It is excreted eventually from drain pipe, to be conducive to maintain the clarity of tumour cutting part, convenient for the cutting operation of doctor.
Detailed description of the invention
Fig. 1 is the structural diagram of the present invention;
Fig. 2 is the partial enlarged view in Fig. 1 at A;
Fig. 3 is the partial enlarged view in Fig. 1 at B.
Specific embodiment
In order to make those skilled in the art that the present invention may be better understood, below with reference to embodiment to the technology of the present invention Scheme further illustrates.
As shown in Figure 1, a kind of multifunctional tumor of the present embodiment removes scissors, comprising: handle 1;Outer knife pipe 12, it is described outer Knife pipe 12 can mode rotatable around its axis be connected to the handle 1;Interior knife pipe 11, the outer knife pipe 12 are coated at the interior knife Pipe 11, and interior knife pipe 11 can be slided along the outer catheter axial reciprocating, be connected between interior knife pipe 11 and outer knife pipe 12 by flat key, Ensure that the two can rotate synchronously;Interior 11 right end of knife pipe stretches out outside handle 1 and is connected with drawing liquid hose, and the connection of drawing liquid hose is miniature Pump, also connection drain pipe;Interior 11 left end of knife pipe is equipped with inlet opening, in tumour stripping process, after miniature pump startup, and interior knife Pipe 11 is drawn blood stains and is sent in pipette, finally excretes from drain pipe, to be conducive to maintain tumour cutting part Clarity, convenient for the cutting operation of doctor.Scissor body, the scissor body include two and are coaxially articulated with the outer catheter left end Cambered blade 13;Interior 11 left end of knife pipe is hingedly connected to two cambered blades 13 by two connecting rods 14, by described Interior knife pipe 11 moves the carry out shear action for realizing scissor body along axial reciprocating;In the present invention, interior knife pipe 11 and outer knife pipe 12 are equal For two-part structure, in use, the segment of interior knife pipe 11 and outer knife pipe 12 connection scissor body can individually remove and carry out disinfection, really The device that breaks even may be reused;In addition, sizes can be set in the segment of interior knife pipe 11 and outer knife pipe 12 connection scissor body The blade size of model, the scissor body of different model is of different sizes, medical worker can according to the tumor size of required removing with Change the scissor body of different model;Driving motor 2, the driving motor 2 are set in the handle 1;Flat-pushing sleeve 9 is described flat Pushing sleeve cylinder 9 is located in the handle 1 and fixed jacket is in the interior knife pipe 11, and flat-pushing sleeve 9 is externally provided with external screw thread, and by being somebody's turn to do External screw thread is combined with the tool flat-pushing gear 7 of internal thread;When carrying out tumour removing, driving motor 2 is alternately rotated and reverse, And the flat-pushing gear 7 is driven to rotate and reverse with certain frequency, and drive flat-pushing pullover and interior knife pipe 11 past axially together The multiple mobile shear action for realizing scissor body;In addition, the angle that scissor body opens depends on the mobile distance of interior knife pipe 11, because This, medical worker can be by all numbers of control motor rotation, to control the angle of scissor body opening;Rotational sleeve, described turn Moving sleeve is coated at flat-pushing sleeve 9 in such a way that the circumferencial direction that slides axially is fixed, and rotational sleeve housing is fixed with rotate gear 8, the driving motor 2 can drive the rotate gear 8 to rotate, and rotational sleeve and interior knife pipe 11 is driven to turn together about axis It is dynamic;When needing to adjust the posture of scissor body, it can use driving motor 2 and drive interior knife pipe 11, outer knife pipe 12 and scissor body total With rotation, the convenience that medical worker uses is improved.
In the present embodiment, be set on the output shaft of the driving motor 2 respectively with the flat-pushing gear 7 and rotate gear The first driving gear 6 and the second driving gear 3 of 8 engagements;It is equipped between first driving gear 6 and the second driving gear 3 Replace the clutch collar 5 engaged with output shaft for controlling the first driving gear 6 and the second driving gear 3, clutch collar 5 is a disk Body is cooperated by spline and output shaft, is fixed with short column, the first driving gear 6 and second in the left and right ends of clutch collar 5 Driving gear 3 is equipped with the connecting hole that can cooperate with short column, so that short column is caught in the second driving gear when clutch collar 5 slides into the left After connecting hole on 3 end faces, the second driving gear 3 will be engaged with output shaft, at this point, driving motor 2 is for adjusting scissor body Posture, after clutch collar 5 slides into the right the connecting hole for being caught in short column on 6 end face of the first driving gear, the first driving gear 6 It will be engaged with output shaft, at this point, driving motor 2 is for driving scissor body to carry out shear action.The handle 1 is externally provided with for controlling Make the push button 4 that the clutch collar 5 slides axially.
In the present embodiment, flat-pushing 9 left end of sleeve is fixed with transmission annulus 10, and the transmission annulus 10 is externally provided with spline Tooth, the rotational sleeve inner circle are equipped with the spline cooperated with the spline tooth;Therefore, rotational sleeve is able to drive flat-pushing sleeve 9 rotations, and flat-pushing sleeve 9 can be mobile axially with respect to rotational sleeve.
In the present embodiment, the rotate gear 8 is shaped in the rotational sleeve, dual-purpose the configuration achieves one Purpose, reduce the amount of parts inside handle 1, reduce assembly difficulty.
In the present embodiment, interior 11 periphery of knife pipe is equipped with the sliding of self-lubricating material (such as polytetrafluoroethylene (PTFE)) production Layer, and be slidably matched by the periphery of the sliding layer and outer knife pipe 12, self-lubricating material can effectively reduce interior 11 phase of knife pipe For the frictional resistance generated when the sliding of outer 12 axial reciprocating of knife pipe, while reducing abrasion loss, is conducive to improve making for the present apparatus Use the service life.
In the present embodiment, the driving motor 2 is speed regulating motor, and the output of speed regulating motor rotates adjustable, medical matters people Member adjusts the revolving speed of motor as needed, is finally reached the purpose for adjusting scissor body shearing frequency.
The explanation of embodiments above is merely used to help understand method and its core concept of the invention.It should refer to It out, for those skilled in the art, without departing from the principle of the present invention, can also be to the present invention Some improvement and modification can also be carried out, and these improvements and modifications also fall within the scope of protection of the claims of the present invention.

Claims (6)

1. a kind of multifunctional tumor removes scissors characterized by comprising
Handle;
Outer knife pipe, the outer knife pipe can mode rotatable around its axis be connected to the handle;
Interior knife pipe, the outer knife pipe is coated at the interior knife pipe, and interior knife pipe can be slided along the outer catheter axial reciprocating;Interior knife Pipe right end stretches out outside handle and is connected with drawing liquid hose;
Scissor body, the scissor body include two cambered blades for being coaxially articulated with the outer catheter left end;The interior knife Guan Zuo End is hingedly connected to two cambered blades by two connecting rods, to move realization scissor body along axial reciprocating by the interior knife pipe Carry out shear action;
Driving motor, the driving motor are set in the handle;
Flat-pushing sleeve, the flat-pushing sleeve is located in the handle and fixed jacket is in the interior knife pipe, and flat-pushing sleeve is externally provided with External screw thread, and the tool flat-pushing gear of internal thread is combined with by the external screw thread, the driving motor can drive the flat-pushing tooth Wheel rotation, and flat-pushing pullover and interior knife pipe is driven to move back and forth the shear action for realizing scissor body axially together;
Rotational sleeve, the rotational sleeve are coated at flat-pushing sleeve, rotational sleeve in such a way that the circumferencial direction that slides axially is fixed Housing is fixed with rotate gear, and the driving motor can drive the rotate gear to rotate, and drive rotational sleeve and interior knife pipe It is rotated about axis jointly.
2. multifunctional tumor according to claim 1 removes scissors, it is characterised in that: on the output shaft of the driving motor It is set with the first driving gear and the second driving gear engaged respectively with the flat-pushing gear and rotate gear;Described first is main It is equipped with to replace for the first driving gear of control and the second driving gear with output shaft between moving gear and the second driving gear and connect The clutch collar of conjunction, the handle are externally provided with the push button to slide axially for controlling the clutch collar.
3. multifunctional tumor according to claim 2 removes scissors, it is characterised in that: the flat-pushing sleeve left end is fixed with It is driven annulus, the transmission annulus is externally provided with spline tooth, and the rotational sleeve inner circle is equipped with the spline cooperated with the spline tooth Slot.
4. multifunctional tumor according to claim 3 removes scissors, it is characterised in that: the rotate gear is shaped in The rotational sleeve.
5. multifunctional tumor according to claim 4 removes scissors, it is characterised in that: the interior knife pipe periphery is equipped with certainly The sliding layer of lubriation material production, and be slidably matched by the periphery of the sliding layer and outer knife pipe.
6. multifunctional tumor according to claim 5 removes scissors, it is characterised in that: the driving motor is speed regulation electricity Machine.
CN201811026451.7A 2018-09-04 2018-09-04 Multifunctional tumor stripping scissors Active CN109044493B (en)

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CN109044493B CN109044493B (en) 2020-05-26

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Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN112336415A (en) * 2020-11-12 2021-02-09 安兴国 Thyroid gland separation device and method

Citations (11)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN203885573U (en) * 2014-03-25 2014-10-22 王志海 Tumor detacher
CN204636490U (en) * 2015-05-14 2015-09-16 袁萍 A kind of new medical circular cutter
US20150313621A1 (en) * 2014-05-02 2015-11-05 United States Endoscopy Group, Inc. Flat object grasper
CN105216017A (en) * 2015-10-31 2016-01-06 重庆大嘉富食品有限公司 Spacing scissors
CN205083571U (en) * 2015-10-19 2016-03-16 刘云鹤 Tumor tissue fixes stripping off device
WO2016063850A1 (en) * 2014-10-21 2016-04-28 並木精密宝石株式会社 Gripping device
JP2016112063A (en) * 2014-12-11 2016-06-23 住友ベークライト株式会社 Treatment tool for endoscope
CN205391141U (en) * 2016-03-03 2016-07-27 赵堃 Tumor stripper
CN106166079A (en) * 2016-09-30 2016-11-30 杭州思客医学科技有限公司 The cutting needle advance and retreat structure of a kind of rotary-cut pin and rotary-cut pin thereof
CN107822697A (en) * 2017-11-29 2018-03-23 朱琨 Multifunctional tumor peels off scissors
CN108143465A (en) * 2017-12-25 2018-06-12 王兰华 A kind of tumor dissector

Patent Citations (11)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN203885573U (en) * 2014-03-25 2014-10-22 王志海 Tumor detacher
US20150313621A1 (en) * 2014-05-02 2015-11-05 United States Endoscopy Group, Inc. Flat object grasper
WO2016063850A1 (en) * 2014-10-21 2016-04-28 並木精密宝石株式会社 Gripping device
JP2016112063A (en) * 2014-12-11 2016-06-23 住友ベークライト株式会社 Treatment tool for endoscope
CN204636490U (en) * 2015-05-14 2015-09-16 袁萍 A kind of new medical circular cutter
CN205083571U (en) * 2015-10-19 2016-03-16 刘云鹤 Tumor tissue fixes stripping off device
CN105216017A (en) * 2015-10-31 2016-01-06 重庆大嘉富食品有限公司 Spacing scissors
CN205391141U (en) * 2016-03-03 2016-07-27 赵堃 Tumor stripper
CN106166079A (en) * 2016-09-30 2016-11-30 杭州思客医学科技有限公司 The cutting needle advance and retreat structure of a kind of rotary-cut pin and rotary-cut pin thereof
CN107822697A (en) * 2017-11-29 2018-03-23 朱琨 Multifunctional tumor peels off scissors
CN108143465A (en) * 2017-12-25 2018-06-12 王兰华 A kind of tumor dissector

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN112336415A (en) * 2020-11-12 2021-02-09 安兴国 Thyroid gland separation device and method

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